Ther Ex 1 Flashcards

1
Q

Models of Disablement

A

Pathology/ Health Condition
Impairment
Functional / Activity limitation
Disability / Participation Restriction

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2
Q

Ther Ex

A

systematic, planned performance of bodily, movements, posture or physical activities with intent to achieve a specific goal

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3
Q

Supervision

A

Direct - there and watching

Indirect - in the room or available by phone

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4
Q

Discharge

A

patient met goals

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5
Q

Discontinuation

A

Therapy won’t help or fix issue

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6
Q

Tissues of the body

A

Epithelial
Nervous
Connective
Muscle

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7
Q

Connective Tissue

A
Loose
Dense regular
Dense Irregular
Elastic
Reticular
Adipose
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8
Q

Irregular vs regular

A
Irregular = Fascia, needs to be pliable
Regular = trendons/ligamets, specific direction and purpose
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9
Q

Types of cartilage

A

Hyaline
Fibrocartilage
Elastic

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10
Q

Myotendinous Junction

A

MTJ
Where tendon and muscle meet
common area for tears

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11
Q

Bone

A
highly vascular
collagen
calcium phosphate
water
proteins
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12
Q

Structures affected in ROM

A
Muscles
Joint surface
Capsule
Ligaments
Fascia
Vessels
Nerves
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13
Q

Factors that affect ROM

A

Joint structure
Age
Gender
Type of Motion (Active and Passive Insufficiency)

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14
Q

Benefits of ROM

A
Promotes joint integrity
Lessens chance of contracture
Uses elasticity
Synovial fluid movement
Reduce pain
Promote healing
Kinesthetic awareness
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15
Q

Factors that decrease ROM

A

Disease
Surgery
Trauma
Inactivity

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16
Q

Vailidity

A

What it is supposed to measure

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17
Q

Reliability

A

Consistent, repeatable

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18
Q

Contraindications for ROM

A

When healing would be disrupted
When exercise could cause harm, pain or inflammation
Life threatening (clot)

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19
Q

PROM indications

A

Acute inflammation
2-6 days post surgery/trauma
unable or shouldn’t contract muscles

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20
Q

What PROM achieves

A
Tissue mobility
minimizes contracture
maintains elasticity
helps circulation
synovial movement
reduce pain/stiffness
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21
Q

PROM does NOT achieve

A

prevent atrophy
increase strength and endurance
increase circulation

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22
Q

AROM and AAROM indications

A

Whenever pt can contract
pt is weak but can move
aerobic conditioning

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23
Q

What AROM achieves

A
Maintains elasticity
provides stimulus
increase circulation
prevents clot
Coordination and motor skills
Initiates strengthening
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24
Q

Normal end feels

A

Soft (soft tissue touches each other, muscle bulk, obese)
Firm (muscular, capsule or ligament stretch)
Hard (Bone contacts bone)

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25
Abnormal end feels
Empty (painful) Boggy (soft, mushy from effusion) Spasm (early abrupt stop with some rebound) Bony (osteophyte in the way)
26
Functional Excursion
Amount of distance from lengthened muscle to shortened muscle
27
Compliance in HEP
Educate patients Point out successes Perceived barriers Perceived helplessness
28
Fostering Compliance in HEP
``` Determine pt values Help identify benefits Explain tx Identify goals, progress and barriers Allow pt input Be brief Be practical ```
29
Communications skills
``` Respect personalities, values and cultures Body language Appropriate topics no bias no politics ```
30
Discharge
Patient met goals
31
Discontinuation
Therapy won't help
32
4 types of tissue
Epithelial Nervous Connective Muscular
33
Epithelial tissue
Membranous | Glandular
34
Muscle tissue
Smooth Cardiac Skeletal
35
Connective tissue
``` Bone Cartilage Tendons Ligaments Blood ```
36
Connective tissue cells
Macrophages Mast cells Fibroblasts
37
Collagen
Maintains structural integrity | Provides tensile strength
38
Elastin
Stretch and goes back to form
39
Functions of bone
``` Store minerals provide support protect vital strctures Provide attachment sites 206 bones total ```
40
Hyaline cartilage
Covers ends of long bones provides articulating surface most abundant
41
Elastic cartilage
Specialized connective tissue | found in outer ear and portions of larynx
42
Fibrocartilage
Shock absorber Symphysis pubis Discs Menisci
43
Muscle layers
``` Tendon Epimysium (surounds muscle) Perimysium (surrounds fascicles) Endomysium (surrounds muscle fibers) myofilament ```
44
Cross bridges
connect myosin and actin
45
A bands are composed of
myosin
46
I bands are composed of
Actin
47
Sarcomere
distance from Z line to Z line
48
Neuromuscular Junction
each muscle fiber is innervated by a somatic motor neuron
49
Motor impulse
``` MEA motor efferent anterior root Brain to extemities ```
50
Sensory impulse
``` SAP Sensory Afferent Posterior root Extremities to brain ```
51
Gross motor
Neuron innervates many fibers
52
Fine motor
Neuron innervates few fibers
53
Slow Twitch
``` Type 1 Aerobic > 1 minute Trunk Long term activities ```
54
Fast Twitch
``` Type 2 Anerobic 30 sec to 1 min Extremities Short bursts of energy ```
55
Sprain
Injured ligament
56
Strain
Injured tendon
57
Primary injuries
Acute 1-3 days Sub-acute 4-7 days Chronic > 1-2 weeks
58
Secondary Injuries
inflammatory response that occurs with primary injury
59
Macrotrauma
Injury and pain occur simultaneously
60
Microtrauma
small injuries over time
61
How to treat acute injuries
RICE Medicate Manual Therapy, PROM
62
How to treat subacute injuries
Increase AROM/AAROm Stretch Heat
63
How to treat chronic injuries
All of the above | + Add resistance
64
Wolff's Law
Forces applied to a bone can alter bone internally and externally through adaptation More load/exercise = bone growth
65
3 phases of wound healing
Inflammatory Proliferative Remodeling